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Compounded semaglutide comes in multi-dose vials at varying concentrations

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The end result is gastric atrophy and depletion of intrinsic factor leading to poor absorption of food-bound, free, and biliary vitamin B 12 .2 Malabsorption is more complete and severe in PA compared to food-cobalamin malabsorption which is more partial in nature,2 and so the manifestations are more overt and severe in PA

If you have had weight loss surgery and are experiencing fatigue or neurological symptoms, B12 testing and consultation with a qualified provider should be a priority

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